| The Lawson's House | |
|
116 W Main St Wallace NC 28466-2902 | |
| (910) 285-5527 | |
| Not Available |
| Full Name | The Lawson's House |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 116 W Main St, Wallace, North Carolina |
| Authorized Official Name and Position | Sharita M Lawson (DIRECTOR) |
| Authorized Official Contact | 9102855527 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Lawson's House 116 W Main St Wallace NC 28466-2902 Ph: (910) 285-5527 | The Lawson's House 116 W Main St Wallace NC 28466-2902 Ph: (910) 285-5527 |
| NPI Number | 1285760256 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 01/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285760256 | NPI | - | NPPES |
| 8301573G | Medicaid | NC | |
| 8301573H | Medicaid | NC | |
| 8301573R | Medicaid | NC | |
| 8301573B | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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The Lawson's House Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 W Main St, Wallace, NC 28466 Phone: 910-285-5527 Fax: 910-285-5526 |